PEMERINTAH PROPINSI JAWA TENGAH

RUMAH SAKIT UMUM DAERAH Dr. MOEWARDI

Jln. Kol. Sutarto No. 132 Surakarta, Kodepos : 57126, Telepon : (0271) 634634 Ekst.455
Faksimile (0271) 637412, Email : rsmoewardi@jatengprov.go.id

Website : rsmoewardi.jatengprov.go.id

LAPORAN HASIL PEMERIKSAAN LABORATORIUM

Nama Laboratorium : Laboratorium Patologi Klinik RSUD Dr. Moewardi

Kegiatan : Pemeriksaan Swab PCR Covid-19
Tanggal Pemeriksaan : 11 November 2020
Metode Pemeriksaan : Real Time - PCR

Asal Institusi Hasil

Umur Jenis Tgl. Pengambilan Tgl. Spesimen Tgl. Pemeriksaan
No. No. Spesimen* NIK Nama* Alamat * Kabupaten* Kota* No. Hp Jenis Spesimen Pengirim Pemeriksaan Kesimpulan
(thn/bln)* Kelamin* Spesimen* diterima* Spesimen*
Spesimen Spesimen*

DKK Wonogiri PKM

1 C49-43602 K 3312074502670004 Widyastuti 53 P Batu Kidul 002/009 Baturetno, Baturetno Swab Naso orofaring 9 Nopember 2020 10 November 2020 11 November 2020 Negatif
Baturetno I

DKK Wonogiri PKM

2 C49-43603 K 3312074807950001 Salimah Qurrotaa'yun 25 P Glesung 002/001 Glesungrejo, Baturetno Swab Naso orofaring 9 Nopember 2020 10 November 2020 11 November 2020 Negatif
Baturetno I

DKK Wonogiri PKM

3 C49-43604 K 3315105406940003 Anisa Aniyanti 26 P Putuk 001/004 Glesungrejo, Baturetno Swab Naso orofaring 9 Nopember 2020 10 November 2020 11 November 2020 Negatif
Baturetno I

DKK Wonogiri PKM

4 C49-43605 K 3312070305640001 Moh Fatchurohman Al Fatah 56 L Patisari 002/003 Talunombo, Baturetno Swab Naso orofaring 9 Nopember 2020 10 November 2020 11 November 2020 Negatif
Baturetno I

DKK Wonogiri PKM

5 C49-43614 K 3312071402710002 Muhsin Raharjo 49 L Batu Lor 002/019 Baturetno, Baturetno Swab Naso orofaring 9 Nopember 2020 10 November 2020 11 November 2020 Negatif
Baturetno I

DKK Wonogiri PKM

6 C49-43615 K 3312071204570004 Sudarto 63 L Batu Lor 003/017 Baturetno, Baturetno Swab Naso orofaring 9 Nopember 2020 10 November 2020 11 November 2020 Negatif
Baturetno I

DKK Wonogiri PKM

7 C49-43616 K 3312070105850001 Vian Tommy Arifianto 35 L Batu Lor 003/017 Baturetno, Baturetno Swab Naso orofaring 9 Nopember 2020 10 November 2020 11 November 2020 Negatif
Baturetno I

DKK Wonogiri PKM

8 C49-43617 K 3312072711610002 Suharto 58 L Jatirogo 001/001 Balepanjang, Baturetno Swab Naso orofaring 9 Nopember 2020 10 November 2020 11 November 2020 Negatif
Baturetno I

DKK Wonogiri PKM

9 C49-43630 K 3312074603950001 Normarista Afifah Mahastri 35 P Petuk Lor 002/001 Baturetno, Baturetno Swab Naso orofaring 9 Nopember 2020 10 November 2020 11 November 2020 Negatif
Baturetno I

DKK Wonogiri PKM

10 C49-43631 K 3312074803650004 Suparmi 55 P Dungringin 023/001 Talunombo, Baturetno Swab Naso orofaring 9 Nopember 2020 10 November 2020 11 November 2020 Negatif
Baturetno I

DKK Wonogiri PKM

11 C49-43632 K 3312070611740001 Gatot Purwito 46 L Patuk Lor 002/001 Baturetno, Baturetno Swab Naso orofaring 9 Nopember 2020 10 November 2020 11 November 2020 Negatif
Baturetno I

DKK Wonogiri PKM

12 C49-43633 K 3312074308740001 Suyatmi 46 P Patuk Lor 002/001 Baturetno, Baturetno Swab Naso orofaring 9 Nopember 2020 10 November 2020 11 November 2020 Negatif
Baturetno I